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Dr. Leo Paul Krusack, DDS
General Practice Dentistry in Glen Ellyn, Illinois
NPI 1689740334

Leo Paul Krusack is a General Practice Dentistry based in Glen Ellyn, IL and is specialized in General Practice. Leo Paul Krusack practices in Glen Ellyn, IL and has the professional credentials of DDS. The NPI Number for Leo Paul Krusack is 1689740334 and holds a License No. 19A-14094 (Illinois).

The current practice location address for Leo Paul Krusack is 444 N Main St, Glen Ellyn, IL and can be reached out via phone at 630-858-1120 and via fax at 630-858-7632.

Location: 444 N Main St, Glen Ellyn, IL, 60137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689740334
Provider Name
Leo Paul Krusack
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
444 N Main St, Glen Ellyn, IL, 60137
Phone Number
630-858-1120
Fax Number
630-858-7632
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
444 N Main St
City
Glen Ellyn
State
Illinois
Zip
60137
Phone Number
630-858-1120
Fax Number
630-858-7632
person
Provider Business Mailing Address Details
Address
444 N Main St
City
Glen Ellyn
State
Illinois
Zip
60137
Phone Number
630-858-1120
Fax Number
630-858-7632
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19A-14094 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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